Medical Billing and Coding Specialist Salary in Greenville, NC: $37,133 (2026)
Quick Answer:A full-time medical billing and coding specialist in Greenville, NC earns a median $37,133/year (≈ $17.85/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2072). Once you factor in Greenville's price level (12% below national, BEA RPP 88.4), that paycheck buys what $42,005 would nationally. Nominal pay sits 32.1% above the North Carolina state average.
Official BLS data · View source

In 2026, medical billing and coding specialists in Greenville, North Carolina are projected to earn a median salary of $37,133 annually, reflecting a 22.35% increase compared to the national median, which stands at $30,349. With a salary range from $22,189 at the 10th percentile to $47,281 at the 90th percentile, this role offers significant earning potential. These figures, drawn from 2025 BLS Occupational Employment and Wage Statistics (OEWS) data, show that specialists involved in inpatient coding, particularly those certified as CCS, tend to earn more than their outpatient counterparts, such as CPCs. Furthermore, those working in risk adjustment coding, especially in HCC positions, also command competitive wages in this market, underscoring the diversity of earning potential within this profession in Greenville.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $22,189 | $10.67 |
| Lower Range (P25) | $27,910 | $13.41 |
| Median (P50)(typical) | $37,133 | $17.85 |
| Upper Range (P75) | $38,687 | $18.60 |
| Top Earners (P90) | $47,281 | $22.73 |
Median Salary Position
22.35% above the national average
2026 Salary Percentile Distribution in Greenville
In Greenville, NC, the medical billing and coding specialist salary spread from the 10th to 90th percentile is $25,092 (2026 est.). At $37,133, the local median is 22.35% above the national median of $30,349.
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At 40 hours/week in Greenville: You'd be above the median
How Greenville Medical Billing and Coding Specialist Pay Compares
Greenville median: $37,133/year (2026)
| Compared To | Median Salary | Greenville Pays |
|---|---|---|
| North Carolina Average | $28,110 | +32.10% more |
| National Average | $30,349 | +22.35% more |
Medical Billing and Coding Specialists in Greenville, NC earn a median of $37,133 per year (2026 est.), which is 22.35% higher than the national median of $30,349 and 32.10% above the North Carolina state average of $28,110.
Cost-of-Living Adjusted Salary
Greenville has a cost of living 11.60% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Greenville, NC has a cost-of-living index of 88.402 (below the national average of 100). A medical billing and coding specialist earning $37,133 nominally has purchasing power equivalent to $42,005 in an average-cost city — an effective 13.12% boost.
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2021 BLS Actual
$45,830
2025 BLS Actual
$36,291
2026 Current Est.
$37,133
2021–2027 Growth
+-17.1%
Salary Trajectory for Medical Billing and Coding Specialists in Greenville (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $45,830 | Actual |
| 2022 | $49,950 | Actual |
| 2023 | $47,510 | Actual |
| 2024 | $49,350 | Actual |
| 2025 | $36,291 | Actual |
| 2026(current) | $37,133 | Estimated |
| 2027 | $37,994 | Projected |
Based on 5 years of BLS OEWS data for the Greenville metropolitan area, the median medical billing and coding specialist salary grew -20.8% from $45,830 (2021) to $36,291 (2025). At a 2.32% compound annual growth rate, salaries are projected to reach $37,994 by 2027 — a total increase of $-7,836 (-17.10%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Greenville metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.32% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $22,189 – $27,910 |
| 3-5 years (Mid Career) | $27,910 – $37,133 |
| 5+ years (Experienced) | $37,133 – $38,687 |
| 10+ years (Top Earner) | $38,687 – $47,281 |
MBS salary ranges estimated from BLS percentile data. Individual medical billing and coding specialist compensation varies by employer, certifications, and specialization.
Medical Billing and Coding Specialist Job Market in Greenville
The local job market currently employs around 390 medical billing and coding specialists, offering a decent pool of opportunities in different healthcare settings. With a cost of living index of 88.402, workers can enjoy more disposable income and purchasing power compared to places with a higher index. Employers such as hospital coding departments and major physician group practices tend to offer some of the highest compensation packages. Factors contributing to the wage range include the coding specialty—those with multiple credentials like CPC, CCS, or CRC often receive premium pay—along with remote work options and productivity bonuses based on charts coded. For those looking to maximize their salary in Greenville, pursuing additional certifications and staying updated with coding changes, particularly in risk adjustment and compliance, can significantly enhance professional value and marketability in this evolving field.
More salary data for Greenville, NC:
Frequently Asked Questions
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Written by Amina Patel, CPC
Career Analyst
Amina has 10 years of experience in medical billing. She specializes in outpatient coding for multi-specialty practices.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $36,291 for medical billing and coding specialistsin the Greenville metropolitan area. A 2.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.32%, derived from historical BLS wage trends for medical billing and coding specialists (SOC 29-2072).
Compiled and verified by Amina Patel, CPC, a licensed medical billing and coding specialist with 10+ years of clinical experience. · View source data at BLS.gov